Organization Active NPI

Round Rock Wound & Rehab Center, LP

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Round Rock, TX
National Provider Identifier
1467404129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
ROUND ROCK WOUND & REHAB CENTER, LP
Practice address
310 W Main Ave
Round Rock, TX 78664-5830
Phone
(512) 246-2262
Fax
(512) 246-2261
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul Jones
Title
Administrator
Phone
(512) 440-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X TX Primary

Addresses

Primary practice location

310 W Main Ave
Round Rock, TX 78664-5830

Mailing address

1701 W Ben White Blvd
Suite 100B
Austin, TX 78704-7667
Phone (512) 440-1441

Other identifiers 2

IdentifierTypeStateIssuer
0095JZOtherTXBC/BS OF TX
00618XOtherTXMEDICARE B

National Provider Directory

National Provider Directory

Locations

310 W Main St
Round Rock, TX 78664
Phone (512) 246-2262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467404129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W BEN WHITE BLVD",
            "address_2": "SUITE 100B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047667",
            "telephone_number": "512-440-1441",
            "fax_number": "512-440-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W MAIN AVE",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645830",
            "telephone_number": "512-246-2262",
            "fax_number": "512-246-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUND ROCK WOUND & REHAB CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-440-1441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TX",
            "identifier": "0095JZ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "00618X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.